Individual
MRS. LESLEY ANN WICKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
221 E WALNUT ST, ASHLAND, OH 44805-3256
(419) 606-9435
Mailing address
221 E WALNUT ST, ASHLAND, OH 44805-3256
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP. 10064
OH
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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